Community Health Needs Assessment of Northeast Georgia
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Community Health Needs Assessment of Northeast Georgia District 2 Public Health Habersham Medical Center Northeast Georgia Medical Center Gainesville Northeast Georgia Medical Center Braselton Northeast Georgia Medical Center Barrow Northeast Georgia Medical Center Lumpkin Stephens County Hospital Approved by: The Hospital Authority of Habersham County, Georgia, September 17th, 2019, posted to www.habershammedical.com Northeast Georgia Medical Center Board of Directors, August 27, 2019, posted to www.nghs.com Northeast Georgia Health System Board of Directors, September 24, 2019, posted to www.nghs.com Stephens County Hospital Authority Board, September 16, 2019, posted to stephenscountyhospital.com Page 1 of 287 Community Health Needs Assessment of Northeast Georgia Table of Contents Executive Summary ...................................................................................................... 7 Community Health Needs Assessment Requirement .............................................. 10 CHNA Overview, Methodology, and Approach ......................................................... 11 Consultant Qualifications & Collaboration ......................................................................... 11 Community Served Definition .............................................................................................. 11 Assessment of Health Needs ............................................................................................... 13 Quantitative Assessment of Health Needs – Methodology and Data Sources ............... 13 Qualitative Assessment of Health Needs and Community Input – Approach ................. 14 Methodology for Defining Community Need ...................................................................... 16 Information Gaps .................................................................................................................. 16 Approach to Identify and Prioritize Significant Health Needs .......................................... 17 Recommended Health Needs to be Addressed by the CHNA Partners ........................... 18 Existing Resources to Address Health Needs ................................................................... 18 Community Health Data........................................................................................................ 18 Community Health Needs Assessment – District 2 Public Health .......................... 19 Community Served Definition .............................................................................................. 19 Demographic and Socioeconomic Summary ..................................................................... 20 Watson Health Community Data .......................................................................................... 30 Public Health Indicators ....................................................................................................... 36 Focus Groups & Interviews .................................................................................................. 36 Prioritized Significant Health Needs for District 2 Public Health ..................................... 37 Community Health Needs Assessment – Habersham Medical Center ................... 40 Community Served Definition .............................................................................................. 40 Demographic and Socioeconomic Summary ..................................................................... 41 Watson Health Community Data .......................................................................................... 51 Public Health Indicators ....................................................................................................... 57 Focus Groups & Interviews .................................................................................................. 57 Prioritized Significant Health Needs for Habersham Medical Center .............................. 58 CHNA Implementation Strategy ........................................................................................... 59 Community Health Needs Assessment – NGHS Greater Braselton Service Area . 60 Community Served Definition .............................................................................................. 60 Demographic and Socioeconomic Summary ..................................................................... 61 Watson Health Community Data .......................................................................................... 72 Page 2 of 287 Community Health Needs Assessment of Northeast Georgia Public Health Indicators ....................................................................................................... 78 Focus Groups & Interviews .................................................................................................. 78 Prioritized Significant Health Needs for NGHS – GBSA .................................................... 79 CHNA Implementation Strategy ........................................................................................... 80 Community Health Needs Assessment – NGHS Primary Service Area .................. 81 Community Served Definition .............................................................................................. 81 Demographic and Socioeconomic Summary ..................................................................... 83 Watson Health Community Data .......................................................................................... 93 Public Health Indicators ....................................................................................................... 99 Focus Groups & Interviews .................................................................................................. 99 Prioritized Significant Health Needs for NGHS – PSA ..................................................... 100 CHNA Implementation Strategy ......................................................................................... 101 Community Health Needs Assessment – NGHS Secondary Service Area 400 .... 102 Community Served Definition ............................................................................................ 102 Demographic and Socioeconomic Summary ................................................................... 103 Watson Health Community Data ........................................................................................ 112 Public Health Indicators ..................................................................................................... 118 Focus Groups & Interviews ................................................................................................ 118 Prioritized Significant Health Needs for NGHS – SSA 400 .............................................. 119 CHNA Implementation Strategy ......................................................................................... 120 Community Health Needs Assessment – NGHS Secondary Service Area North 121 Community Served Definition ............................................................................................ 121 Demographic and Socioeconomic Summary ................................................................... 122 Watson Health Community Data ........................................................................................ 131 Public Health Indicators ..................................................................................................... 136 Focus Groups & Interviews ................................................................................................ 136 CHNA Implementation Strategy ......................................................................................... 138 Community Health Needs Assessment – Stephens County Hospital .................. 139 Community Served Definition ............................................................................................ 139 Demographic and Socioeconomic Summary ................................................................... 140 Watson Health Community Data ........................................................................................ 150 Public Health Indicators ..................................................................................................... 156 Focus Groups & Interviews ................................................................................................ 156 Prioritized Significant Health Needs for Stephens County Hospital .............................. 157 CHNA Implementation Strategy ......................................................................................... 158 Page 3 of 287 Community Health Needs Assessment of Northeast Georgia Description of Northeast Georgia Region Priority Health Needs .......................... 160 Mental and Behavioral Health ............................................................................................ 160 Substance Abuse ................................................................................................................ 167 Access to Care – Primary Care .......................................................................................... 169 Access to Care – Preventable Hospitalizations ............................................................... 170 Access to Care – Insurance Coverage .............................................................................. 172 Access to Care –Teen Pregnancy, Maternal & Child Health, and Child Mortality ......... 173 Access to Care – Transportation